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Preauthorization
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CareAffiliate CareAffiliate is Select Health's preauthorization tool.

Forms and Lists Forms and requirements for provider preauthorization.

Pharmacy Preauthorization Prompt PA is Select Health's pharmacy preauthorization tool.

Preauthorization Reports See Colorado's yearly preauthorization reports.
Claims
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Provider Benefit Tool Login to our online tool to submit and monitor claims.

Electronic Data Interchange (EDI) Electronic Data Transfer information for providers.

Forms Access the forms you need for appeals, access, preauthorization, claims, and more.

ID Card Guides Member ID cards vary from state to state and by plan type.
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Medical Policies Access Select Health Medical Policies in PDF form listed alphabetically.

Medical Coding Reimbursement Access individual coding and reimbursement policies in PDF form.

Policy Update Bulletins Monthly bulletin that outlines new, revised, and archived policies.
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Join Our Networks
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Utah Provider Network Learn more about joining our provider network in Utah.

Idaho Provider Network Learn more about joining our provider network in Idaho.

Nevada Provider Network Learn more about joining our provider network in Nevada.

Colorado Provider Network Learn more about joining our provider network in Colorado.

Join our Networks Fill out the provider application to begin the credentialing process.
Programs
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Quality Provider Program This team-based healthcare delivery model enhances health outcomes for patients.

Care Management Our team of trained professionals helps members manage chronic or complex conditions.

Quality Ribbon Transparency (QRT) The QRT program compares provider’s scores to national standards.

Pharmacy & Therapeutics Information for providers on formularies, pharmacy tools, and other resources.

Behavioral Health Resources for behavioral health providers on credentialing, claims, and more.

Dental Dental provider resources related to claim payments, online tools, and plans.

Risk Adjustment Our method to offset the cost of care for members with chronic health conditions.

Government Programs Learn more about our plans facilitated through government programs.
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Provider Insight Quarterly newsletter that includes important information for your practice.

Policy Update Bulletins Monthly bulletin that outlines new, revised, and archived policies.

Tools and Services Online tools and reference guides for providers.

Training & Attestation Compliance and training requirements for providers.

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Request a Redetermination of Medicare Prescription Drug Denial.

Inform beneficiaries/enrollees of a Notice of Medicare Non-Coverage (NOMNC).

Select Health is a nonprofit health plan in Utah, Idaho, Nevada, and Colorado, with more than one million members across the United States. We are committed to helping our members and everyone in our communities stay healthy.

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